Check autism therapy insurance coverage in your state

Insurance coverage for applied behavior analysis (ABA) therapy can vary by state and by health plan. Action Behavior Centers partners with a wide range of insurance providers to help families access evidence-based autism therapy services quickly. View state-specific insurance coverage for autism therapy and see which plans are accepted in your area.

Insurance coverage for ABA therapy can vary by state and by health plan. Use the tool below to find state-specific insurance coverage for autism therapy in your area. Don’t see your insurance listed? Contact your local ABA center to verify in-network ABA coverage. We accept 120+ insurances and are adding more every day.

Insurance accepted by state:

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Arizona
Arizona
DMBA
Texas
Texas
EBMS
CO
Colorado
Elevate Health (CO Medicaid)
Texas
Texas
Employers Health Network
CO
Colorado
Health First
Arizona
Arizona
IL
Illinois
CO
Colorado
Texas
Texas
NC
North Carolina
MN
Minnesota
HealthPartners Marketplace
NC
North Carolina
Healthy Blue
PA
Pennsylvania
Highmark BCBS
Texas
Texas
Impact Health Sharing
PA
Pennsylvania
Independence Blue Cross
Texas
Texas
Insurance Benefit Administrators
Texas
Texas
Insurance TPA
NC
North Carolina
Interactive Medical Systems
CO
Colorado
Kaiser Permanente PPO
NC
North Carolina
Leading Edge Administrator
Texas
Texas
Liberty HealthShare
Texas
Texas
Lucent Health
Texas
Texas
Luminare Health
Arizona
Arizona
MedImpact
MN
Minnesota
Arizona
Arizona
IL
Illinois
CO
Colorado
Texas
Texas
Medica
MN
Minnesota
Medica Passport
Texas
Texas
Memorial Hermann: PHCS Network
Arizona
Arizona
IL
Illinois
CO
Colorado
Texas
Texas
NC
North Carolina
MN
Minnesota
IN
Indiana
SC
South Carolina
PA
Pennsylvania
Meritain Health
Texas
Texas
MetroPlus Health
Texas
Texas
Moda Health Plan Inc
MN
Minnesota
OneShare Health
Arizona
Arizona
IL
Illinois
CO
Colorado
Texas
Texas
NC
North Carolina
MN
Minnesota
IN
Indiana
PA
Pennsylvania
Optum
IN
Indiana
PHP Indiana Group
NC
North Carolina
Partners Health Management - NC Medicaid
PA
Pennsylvania
Philadelphia American
Arizona
Arizona
IL
Illinois
CO
Colorado
Texas
Texas
NC
North Carolina
PA
Pennsylvania
Premera Blue Cross
IL
Illinois
Prestige International USA
Texas
Texas
Priority Health
IL
Illinois
Progress Health
Arizona
Arizona
Texas
Texas
SC
South Carolina
Quantum Health
Arizona
Arizona
IL
Illinois
CO
Colorado
Texas
Texas
NC
North Carolina
PA
Pennsylvania
Regence

FAQs about insurance

View all FAQs

Can someone help me understand my ABA insurance benefits?

Yes. ABC has a dedicated team of insurance specialists who handle:

  • Verifying your benefits
  • Explaining deductibles, copays, and coinsurance
  • Submitting paperwork and prior authorizations
  • Answering your financial questions

Our goal is to remove barriers so families can focus on milestone moments, not paperwork.

Do I have to reach my deductible before insurance covers ABA therapy?

In most cases, yes. Families are responsible for their deductible and any copays or coinsurance until the plan’s maximum out-of-pocket (MOOP) is reached. After that, insurance typically covers 100% of additional ABA therapy costs for the year.

What if my insurance doesn’t cover all of the recommended ABA therapy hours?

If your insurance company approves fewer hours than recommended, ABC will:

  • File an appeal on your behalf
  • Explore financial assistance options to help close the gap
  • Work with your family to make sure your child receives the highest possible level of support

Prepare them for a bright future with ABA therapy

Start ABA therapy today. Our online interest form helps us match you with a center near you. We will be in touch soon.